Organization Active NPI

J T Aills MD PC

  • Psychiatry Physician
  • Flint, MI
National Provider Identifier
1306043039
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
JA033988 Issued in MI
Legal business name
J T AILLS MD PC
Practice address
4448 Oakbridge Dr Ste a
Flint, MI 48532-5484
Phone
(810) 230-7905
Fax
(810) 230-7908
NPI assigned
Jun 27, 2007
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
J T Aills, M.D.
Title
President
Phone
(810) 230-7905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X JA033988 MI Primary

Addresses

Primary practice location

4448 Oakbridge Dr Ste a
Flint, MI 48532-5484

Mailing address

4448 Oakbridge Dr Ste a
Flint, MI 48532-5484
Phone (810) 230-7905

Other identifiers 1

IdentifierTypeStateIssuer
1498263MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1306043039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4448 OAKBRIDGE DR STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325484",
            "telephone_number": "810-230-7905",
            "fax_number": "810-230-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 OAKBRIDGE DR STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325484",
            "telephone_number": "810-230-7905",
            "fax_number": "810-230-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J T AILLS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "AILLS",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-230-7905",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "JA033988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1498263",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.